Radiography: Chapter 5-Upper Limb

  1. How many bones are there in the hand?
  2. How many Carpal bones are there in each wrist?
  3. How many Metacarpals are there in each hand?
  4. What 2 joints do the thumbs have?
    Interphalangeal (IP) joint and 1st Metacarpophalangeal (MCP) joint
  5. What 3 joints do the 2nd-5th digits have?
  6. What carpal does the 1st metacarpal articulate with?
  7. What carpal does the 2nd metacarpal articulate with?
  8. What carpal does the 3rd metacarpal articulate with?
  9. What carpal does the 4th and 5th metacarpal articulate with?
  10. What is the most frequently fractured carpal?
  11. What carpals articulate with the Radius?
    Scaphoid and Lunate
  12. What proximal carpal is the largest?
  13. What distal carpal is the largest?
  14. What proximal carpal is the smallest?
  15. What distal carpal is the smallest?
  16. What is the Carpal Sulcus?
    used to demonstrate carpal tunnel
  17. Name the 3 concentric arcs
    Trochlear Sulcus (1st and smallest), Outer ridges of Capitulum and trochlea, Trochlear Notch of the ulna
  18. Radiocarpal Joint
    Scaphoid and lunate directly articulate with the radius. Condyloid(ellipsoidal), Diarthroidal.
  19. Elbow Joint
    Hinge Joint. Diarthroidal.
  20. Proximal Radioulnar joint
    Trochoidal (pivot) type
  21. What bone does ulnar deviation demonstrate?
  22. What bone does radial deviation bring out?
    Lunate, Triquetrium, pisiform, and hamate.
  23. In what position are wrists done?
  24. What happens when the hand is pronated?
    The Radius crosses over the ulna
  25. What 3 views are done for the Elbow joint?
    AP with no rotation, AP with Lateral rotation, AP with Medial rotation.
  26. What is SID?
    Source to Image Distance
  27. Dislocation
    Displacement from joint
  28. Subluxation
    Partial dislocation
  29. Sprain
    Rupture or tearing of connective tissues
  30. Contusion
    Bruise without fracture
  31. Simple Fx
    Closed fracture (bone did not break skin)
  32. Compound Fx
    Open fracture (bone breaks through skin)
  33. Comminuted Fx
    Splintered or crushed bone
  34. Impacted Fx
    Fragments driven into each other
  35. Bartons Fx
    Fracture and dislocation of the posterior lip of the distal radius
  36. Bennetts Fx
    Fracture of the base of the 1st metacarpal bone
  37. Boxers Fx
    Transverse fracture through the metacarpal neck, mostly seen on the 5th
  38. Colles Fx
    Transverse fracture of the distal radius in whihc it is displaced posteriorly
  39. Smiths Fx
    Reverse of the Colles. Transverse fracture of the distal radius with anterior displacement
  40. When positioning the hand where is the CR centered?
    Center to the PIP
  41. What kVp is used for the hand?
    50-60 kVp
  42. What does a lateral view show?
    Ant/Post. dislocation, or foreign body
  43. What position is the thumb done in?
    AP. Only do PA if they are unable to do AP
  44. Name the positions, CR, Film size, kVp range, and SID for the THUMB
    • AP, Oblique, Lateral
    • CR to 1st MCP joint
    • 8x10 cw
    • 50-60 kvp
    • 40" tabletop
  45. Name position, CR, film size and SID for DIGITS 2nd -5th
    • PA, Oblique, Lateral
    • CR to PIP joint
    • 8x10 cw
    • 40" tabletop
  46. Name position, CR, film size, KVP range and SID for HAND
    PA- CR to 3rd MCP joint, 10x12 cw, 50-60Kvp, 40"t

    Oblique- CR to 3rd MCP joint, 10x12 cw 50-60 kvp, 40" tabletop

    Lateral, CR to 2nd MCP joint, 8x10 lw, 50-60 kvp, 40" tabletop
  47. Name Position, CR, film size, kvp, SID for Wrist
    • P.A., Oblique, Lateral
    • CR to midcarpal area
    • 10x12 cw
    • about 60 kVp
    • 40" Tabletop
  48. Name position, CR, Film size, SID for "Ball Catchers"
    • APO
    • CR midpoint between both hands level with 5th MCP joint
    • 10x12 cw
    • 40" tabletop
  49. Name position, CR, film size, SID for Gaynor Hart
    • Carpal tunnel
    • 25* to 30* cephalad to the palm of the hand
    • 8x10 lw
    • 40"tabletop
  50. Name position, CR, film size, SID for radial and Ulnar Deviation
    CR to midcarpal area, 8x10 cw, 40" Tabletop
  51. Name position, CR, film size, SID for Forearm
    AP- arm on same plane, CR to midforearm, 14x17 lw, 40" T

    Lateral- Elbow flexed at 90*, CR to midforearm, 14x17 lw, 40" T
  52. Name position, CR, film size, SID for Elbow
    AP-arm on the same plane, CR to midelbow, 10x12 cw, 40" tabletop.

    Oblique- Hand pronated with elbow at 45* angle, CR to midelbow, 10X12 cw, 40" Tabletop

    Lateral- flex at 90*, CR to midelbow, 8x10 lw, 40"
  53. Name position, CR, film size, SID for Humerus
    AP, Lateral-CR to the middle of humerus, 2 14x17 or 1 14x17 divided, 40" tabletop or bucky
  54. Name the Special Humerus position, CR, Film size, SID
    Transthoracic lateral (Lawrence Method), Center to the head of humerus, 10x12 lw, 40" bucky with Full inspiration
Card Set
Radiography: Chapter 5-Upper Limb
Upper Limb